Organization
PSJ ACQUISITION LLC
Active
Other names
Prairie St John's
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103
(701) 476-7200
(701) 280-5789
Mailing address
510 4TH ST S, FARGO, ND 58103
(701) 476-7200
(701) 280-5789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11051
—
ND
05
—
99725100
—
MN
Enumeration date
06/02/2009
Last updated
04/29/2024
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